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Gaviota Corporation
Clinic/Center in Newark, New Jersey
NPI 1710177068

Gaviota Corporation is a Clinic/Center based in Newark, NJ. Gaviota Corporation practices in Newark, NJ. The NPI Number for Gaviota Corporation is 1710177068 and holds a License No. (New Jersey).

The current practice location address for Gaviota Corporation is 919 Franklin Ave, Newark, NJ and can be reached out via phone at 973-368-4130. You can also correspond with Gaviota Corporation through the mailing address at 559 BROADWAY APT 12, NEWARK, NJ - 07104-4151 (mailing address contact number: 973-368-4130).

Location: 919 Franklin Ave, Newark, NJ, 07104-4151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710177068
Provider Name
Gaviota Corporation
Credential
Provider Entity Type
Organization
Address
919 Franklin Ave, Newark, NJ, 07104-4151
Phone Number
973-368-4130
Fax Number
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
919 Franklin Ave
City
Newark
State
New Jersey
Zip
07107-4801
Phone Number
973-368-4130
Fax Number
person
Provider Business Mailing Address Details
Address
559 Broadway Apt 12
City
Newark
State
New Jersey
Zip
07104-4151
Phone Number
973-368-4130
Fax Number
973-732-0023
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(New Jersey)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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